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Haiti: An Alarming Resurgence of Cholera

A sharp increase in cases in Port-au-Prince and outbreaks reported elsewhere in the country demonstrate that Haiti's cholera epidmemic is far from over.

PORT-AU-PRINCE, June 3, 2011 — The cholera epidemic in Haiti is far from over, with a sharp increase in cases seen in the capital, Port-au-Prince, and outbreaks reported elsewhere in the country, the international medical humanitarian organization Doctors Without Borders/Médecins Sans Frontières (MSF) said today.

Although the cholera epidemic began to decline in February, it has not yet ended. In MSF cholera treatment centers (CTCs) in Port-au-Prince, medical teams have witnessed an increase in cases since mid-May.

MSF had to reopen emergency CTCs to prevent existing treatment centers in Carrefour, Delmas, Martissant, Cité Soleil, and Drouillard from being overwhelmed.

"Since May 29—in one week—MSF has treated almost 2,000 patients in the capital, and we have also been asked to intervene in other areas in the interior of the country,” said MSF head of mission, Romain Gitenet. “Workload should be shared and coordinated in order to increase cholera treatment capacity in Haiti. Too many public facilities are still inadequate."

It is essential that Haitian authorities and their humanitarian partners mobilize to stop the spread of the disease by strengthening national surveillance systems and treatment facilities. Immediate improvements in hygiene, sanitation, and drinking water supplies should be a national priority, in order to protect the most vulnerable people.

”Vigilance is still the best protection,” said Gitenet. “People must be strict about their hygiene and drink treated water. As soon as cholera symptoms appear, such as vomiting and diarrhea, it is vital that people go as quickly as possible to a treatment center. Cholera is treatable, but without medical care it kills quickly."

By the end of May cholera had killed nearly 5,000 people from among the 300,000 cases reported in the country. Three percent of the country’s population has contracted the disease.

MSF has treated 130,000 Haitians for cholera (43 percent of total cases). As soon as the first cases were confirmed in October 2010, MSF teams deployed to 9 of Haiti’s 10 departments to support local health facilities.